Implementation of WHO multimodal strategy for improvement of hand hygiene: a quasi-experimental study in a Traditional Chinese Medicine hospital in Xi’an, China

Early childhood is a formative period during which healthy habits are developed, including proper hand hygiene practices. The aim of this quasi-experimental study was to determine the effectiveness of a 4-week series of educational sessions that consider the cognitive developmental stage of children on increasing their knowledge and promoting hand hygiene practices. The intervention group (n = 33) observed the hand hygiene program, whereas another group served as the waitlist control (n = 20). Creative activities were planned for the illustration of hand hygiene concepts in terms of “right moments”, “right steps”, and “right duration”. Hand sanitizer coverage was evaluated using a hand scanner. After the intervention, the experimental group had higher knowledge level toward hand hygiene than the control group (p < 0.001). Significant improvements in hand hygiene performance at the left palm and dorsum (p < 0.05), right palm (p < 0.05), and overall hand coverage (p < 0.05) were observed in the experimental group. The study demonstrated that the knowledge and proper hand hygiene (HH) practice of children can be positively influenced by the use of an age-appropriate education program. The results of this study have implications for school health educators and parents for promoting HH practices among children at home and at the school level.

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Effect of hand hygiene intervention on the absenteeism of pre-school children in Klang Valley, Malaysia: a quasi-experimental study

World Journal of Pediatrics ◽

10.1007/s12519-019-00283-x ◽

2019 ◽

Vol 16 (4) ◽

pp. 416-421

Author(s):

Nurul Azmawati Mohamed ◽

Mohd Dzulkhairi Mohd Rani ◽

Tengku Zetty Maztura Tengku Jamaluddin ◽

Zarini Ismail ◽

Shalinawati Ramli ◽

...

Keyword(s):

Experimental Study ◽

Hand Hygiene ◽

School Children ◽

Hygiene Intervention ◽

Quasi Experimental ◽

Klang Valley

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Increasing nursing students’ knowledge of evidence-based hand-hygiene: A quasi-experimental study

Nurse Education in Practice ◽

10.1016/j.nepr.2018.12.009 ◽

2019 ◽

Vol 35 ◽

pp. 104-110 ◽

Cited By ~ 3

Author(s):

Anne Korhonen ◽

Anne Vuori ◽

Anne Lukkari ◽

Arja Laitinen ◽

Minna Perälä ◽

...

Keyword(s):

Experimental Study ◽

Nursing Students ◽

Hand Hygiene ◽

Evidence Based ◽

Quasi Experimental

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Impact of Replacing Powdered Gloves With Powder-free Gloves on Hand-hygiene Compliance Among Healthcare Workers of an Intensive Care Unit: a Quasi-experimental Study

10.21203/rs.3.rs-81396/v1 ◽

2020 ◽

Author(s):

Mayra Gonçalves Menegueti ◽

Fernando Bellissimo-Rodrigues ◽

Marcia A. Ciol ◽

Maria Auxiliadora-Martins ◽

Anibal Basile-Filho ◽

...

Keyword(s):

Intensive Care Unit ◽

Experimental Study ◽

Hand Hygiene ◽

Healthcare Workers ◽

Hand Hygiene Compliance ◽

Latex Gloves ◽

Before And After ◽

Quasi Experimental ◽

Hygiene Compliance ◽

Powdered Latex Gloves

Abstract Background/Objective. After wearing powdered gloves, healthcare workers (HCW) are supposed to wash their hands instead of using alcohol-based hand-rub (ABHR). Washing hands takes longer than using ABHR, and the use of powdered gloves may be an obstacle to hand-hygiene compliance. This study aimed to evaluate the impact of replacing powdered gloves with powder-free gloves on hand-hygiene compliance among HCW of an intensive care unit (ICU). Methods. A quasi-experimental study was conducted in a general ICU of a tertiary care university hospital in Brazil. From June 1st to July 15th, 2017, all HCW were provided with powdered latex gloves only for all clinical procedures. From July 15th to August 31st, 2017, HCW were provided with nitrile powder-free gloves only. Hand-hygiene compliance was assessed through direct observation, and evaluated according to the World Health Organization (WHO) Hand Hygiene guidelines. We calculated that a sample size of 544 hand hygiene opportunities needed to be observed per period. Data analysis were performed using the STATA SE® version 14, and we compared the individual’s percentage of compliance using the t test for paired data before and after the intervention.Results. Overall, 40 HCW were assessed before and after the introduction of nitrile powder-free gloves, with 1114 and 1139 observations of hand hygiene opportunities, respectively. The proportion of compliance with hand hygiene was 55% (95% Confidence Interval [CI]: 51-59%) using powdered latex gloves and 60% (95% CI: 57-63%) using powder-free gloves. The difference in proportions between the two types of gloves was 5.1% (95% CI: 2.5-7.6%, p<0.001).Conclusion. Our data indicate that replacing powdered gloves with powder-free gloves positively influenced hand-hygiene compliance by HCW in an ICU setting.

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Effect of Installation of Alcohol Gel Dispensers and Behavioral Nudges on Behavioral Drivers for Hand Hygiene: A Quasi-Experimental Study at a Tertiary Hospital during the COVID-19 Pandemic

PSU Medical Journal ◽

10.31584/psumj.2021245328 ◽

2021 ◽

Author(s):

Sommanas Naknual ◽

Nanta Kliangkird ◽

Tippawan Liabsuetrakul ◽

Wit Wichaidit

Keyword(s):

Experimental Study ◽

Hand Hygiene ◽

Health Beliefs ◽

Self Efficacy ◽

Health Belief ◽

Tertiary Hospital ◽

Post Intervention ◽

Intervention Phase ◽

Refusal Rate ◽

Quasi Experimental

Objective: To compare the level of hand hygiene behavioral drivers before and after installation of alcohol gel dispensers and behavioral nudges among outpatients and visitors at a tertiary hospital in Thailand during the coronavirus disease 2019 (COVID-19) pandemic.Material and Methods: A quasi-experimental study was conducted among outpatients and visitors in June 2020. We installed 12 alcohol gel dispensers with signs serving as behavioral nudges at a tertiary hospital in the Internal Medicine Outpatient Department (OPD), Surgery OPD, and the Pharmacy. We trained enumerators to interview outpatients and visitors regarding their behavioral drivers (beliefs about COVID-19 and hand hygiene based on the health belief model, plus handwashing social norms). We analyzed data using descriptive statistics.Results: Enumerators recruited 206 participants in the pre-intervention phase (refusal rate = 37.6%) and 219 participants in the post-intervention phase (refusal rate = 32.2%). There were significant differences between the pre-intervention and post-intervention phases with regard to self-efficacy for hand hygiene (92.0% vs. 100%, respectively), perceived lack of barriers to hand hygiene with alcohol (93.2% vs. 98.2%, respectively), and the proportion of participants who reported that hand hygiene had become a habit (7.5 vs. 18.8%, respectively). Reports of other domains of health beliefs (perceived severity of COVID-19, perceived benefits of handwashing) were homogeneous in both periods.Conclusion: We found differences in perceived lack of barriers and reported habit of hand hygiene but while self-efficacy was homogeneous in both periods. Issues regarding selection bias, construct validity, and generalizability may limit the usefulness of the study data. Caveats should be considered in the interpretation of the study findings.

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O042: Study on adopting the WHO 5-moment of hand hygiene for practices in traditional Chinese medicine (TCM) clinics

Antimicrobial Resistance and Infection Control ◽

10.1186/2047-2994-2-s1-o42 ◽

2013 ◽

Vol 2 (S1) ◽

Author(s):

P Ching

Keyword(s):

Chinese Medicine ◽

Traditional Chinese Medicine ◽

Hand Hygiene

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Efficacy of hand hygiene products: A quasi-experimental study / Eficácia de produtos de higienização das mãos: estudo quase-experimental

Revista de Enfermagem da UFPI ◽

10.26694/reufpi.v10i1.811 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Érica de Sousa Batista ◽

William Caracas Moreira ◽

Ana Patrícia de Alencar Rego ◽

Miriam Rodrigues de Sá ◽

Aline Raquel de Sousa Ibiapina ◽

...

Keyword(s):

Experimental Study ◽

Hand Hygiene ◽

Quasi Experimental

Objetivo: comparar a eficácia de produtos de higienização das mãos. Metodologia: estudo quase-experimental, do tipo antes e depois, realizado em laboratório de microbiologia de uma instituição de ensino superior piauiense, com 15 acadêmicos de enfermagem. A coleta de dados foi realizada a partir da testagem dos produtos: detergente neutro, álcool gel 70%, iodopovidona 10% e clorexidina 2%. Os dados foram analisados por meio da ocbservação qualitativa da presença de microrganismos após coloração de Gram nos meios de cultura. Resultados: o detergente neutro e o álcool gel 70% possuíram ação semelhante quanto à presença de bactérias identificadas nas amostras, a iodopovidona 10% possibilitou a redução de cocos e bacilos Gram positivos e negativos, e a clorexidina 2% conseguiu eliminar maior variedade de bactérias, incluindo os bacilos Gram negativos, sarcinas, estreptobacilos e estreptococos. Conclusão: a higienização das mãos com clorexidina a 2% apresentou qualitativamente maior potencial para redução de microrganismos.

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